﻿<%@ Page Language="C#" AutoEventWireup="true" CodeBehind="xAtmDetails.aspx.cs" Inherits="UIDocument.xAtmDetails" %>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

<html xmlns="http://www.w3.org/1999/xhtml">
<head runat="server">
    <title></title>
    <style type="text/css">
        .style2
        {
            width: 181px;
        }
        .style3
        {
            width: 318px;
        }
        #txtemailaddress
        {
            width: 183px;
        }
        #txtmothername
        {
            width: 184px;
        }
        #txtdateofbirth
        {
            width: 188px;
        }
        #txtpincode
        {
            width: 183px;
        }
        #txtlastname0
        {
            width: 178px;
        }
        #txtCardNumber0
        {
            width: 181px;
        }
        #txtAccountNumber
        {
            width: 184px;
        }
        #txtCardNumber
        {
            width: 177px;
        }
        #txtPassword
        {
            width: 174px;
        }
        #Select1
        {
            width: 126px;
        }
    </style>
    <script language="javascript" type="text/javascript">
// <![CDATA[

        function txtCardNumber_onclick() {

        }

// ]]>
    </script>
</head>
<body>
    <form id="form1" runat="server">
    <div>
    <table align="center" border="0" cellpadding="0" cellspacing="0" style="width: 442px">
            <tbody><tr>
                <td width="26">
                    </td>
                <td >
                    &nbsp;<span id="lblMsg" style="color: red; display: none;"></span></td>
                <td width="26">
                    &nbsp;</td>
            </tr>
            <tr>
                <td background="/Quick Links/Portalimages/transBG_12.png" width="26">
                    &nbsp;</td>
                <td background="/Quick Links/Portalimages/transBG_22.png">
                    <div id="pnl" style="z-index: 860;">
	
                        <table style="width: 714px; border-collapse: collapse" border="1" cellpadding="4" cellspacing="0" bordercolor="#cdcdcd">
                            <tbody><tr>
                                <td style="font-size: 22px;">
                                        Online Documentation</td>
                            </tr>
                            <tr>
                                <td>
                                    <fieldset>
                                        <legend style="font-family: Tahoma; font-size: 11pt"><strong style="color: #990000">
                                            ATM DETAILS</strong></legend>
                                        <table style="width: 100%; border-collapse: collapse" border="1" cellpadding="4" cellspacing="0" bordercolor="#cdcdcd">
                                            <tbody><tr>
                                                <td class="style3">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>&nbsp;Enter Account Number</strong><span class="fieldreq" style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail1" type="text" id="txtAccountNumber" tabindex="2"></td>
                                                <td class="style2">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>
                                                    Enter Cvv Number 
                                   Enter Cvv Number 
                                                    </strong>
                                                    <span *</span="" style="color: #cc0000"><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtlastname" type="text" id="txtCvvNumber" tabindex="1"></td>
                                            </tr>
                                            <tr>
                                                <td class="style3">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>
                                                    Enter Card Number 
                                                        </strong>
                                                    <span *</span="" style="color: #cc0000"><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail" type="text" id="txtCardNumber" tabindex="2" onclick="return txtCardNumber_onclick()"></td>
                                                <td class="style2">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">
                                                    Select CardType</span>
                                                    </strong><font size="1"><span class="fieldreq" style="color: #cc0000; font-family: Tahoma">
                                                       *</span></font></span></td>
                                                <td style="width: 100px">
                                                    <select id="Select1" name="D1">
                                                        <option></option>
                                                    </select></td>
                                            </tr>

                                               <tr>
                                                <td class="style3">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>
                                                    Enter Password 
                                                        </strong>
                                                    <span *</span="" style="color: #cc0000"><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 140px">
                                                   <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong> 
                                                    <input name="txtemail" type="text" id="txtPassword" readonly ="readonly"> </strong></span></span></span></td>
                                                <td class="style2">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">First 
                                                    Name</span></strong></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtlastname1" type="text" id="txtFirstName" tabindex="1" 
                                                        readonly="readonly"></td>
                                            </tr>


                                              <tr>
                                                <td class="style3">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>
                                                    Enter Starting date 
                                                       /span></span></td>
                  *</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail" type="text" id="txtpincode" tabindex="5"></td>
                                                <td class="style2">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">&nbsp;Last 
                                                    Name :</span></strong></td>
                                                <td style="width: 100px">
                                                    <input name="txtlastname2" type="text" id="txtLastName" tabindex="1" 
                                                        readonly="readonly"></td>
                                            </tr>

                                            <tr>
                                                <td class="style3">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>
                                                    Expiry Date<span style="color: #cc0000">*</span></strong></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtlastname0" type="text" id="txtlastname0" tabindex="1"></td>
                                                <td class="style2">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">Bank 
                                                    Name :</span></strong></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtlastname3" type="text" id="txtBankName" tabindex="1" 
                                                        readonly="readonly"></td>
                                            </tr>



                                             <tr>
                                                <td class="style3">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>E-mail&nbsp; 
                                                    Address&nbsp;  /span></span></td>
                  *</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail" type="text" id="txtemailaddress" tabindex="9"></td>
                                                <td class="style2">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">&nbsp;</span>&nbsp;<span 
                                                        style="font-family: Tahoma">Branch Name :</span></strong></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtlastname4" type="text" id="txtBranchName" tabindex="1" 
                                                        readonly="readonly"></td>
                                            </tr>



                                            <tr>
                                                <td class="style3">
                                                    <span style="font-size: 10pt"><span style="font-family: Tahoma"><strong> </strong>
                                                        <span style="color: #cc0000"></span></span></span></td>
                                                <td style="width: 90px">
                                                <span style="font-family: Tahoma">
                                                <strong>
                                                    <input name="txtemail0" type="button" id="Text6" value="Submit" tabindex="13" style=" font-weight:bold;" ></strong></span></td>
                                                <td class="style2">
                                                   <span style="font-family: Tahoma"><strong><input type="button" id ="" name ="" 
                                                        value="Cancel" tabindex="14" style=" font-weight:bold;" /></strong>
                                                   </span>
                                                    </td>
                                                <td style="width: 100px">
                                                    <span><strong></strong>
                                                    </span>
                                                    </td>
                                            </tr>
                                        </tbody></table>
                                    </fieldset>
                                </td>
                            </tr>
                            <tr>
                                <td style="height: 21px">
                                   
                                </td>
                            </tr>
                        </tbody></table>
                    
</div>
                </td>
                <td background="/Quick Links/Portalimages/transBG_14.png" width="26">
                    &nbsp;</td>
            </tr>
            <tr>
                <td width="26">
                    &nbsp;</td>
                <td background="/Quick Links/Portalimages/transBG_18.png">
                    &nbsp;</td>
                <td width="26">
                    &nbsp;</td>
            </tr>
        </tbody></table>
    </div>
    </form>
</body>
</html>
